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1164162400
JOSE MANUEL SANTOS OLIVARES
BRONX, NY
NPI
1164162400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-01
Last Update Date
2022-04-04
Business Address
Dr. JOSE MANUEL SANTOS OLIVARES MD
234 E 149TH ST
BRONX, NY 10451-5504
Phone number: 443-642-9456
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Mailing Address
Dr. JOSE MANUEL SANTOS OLIVARES MD
414 LIGHT ST UNIT 2402
BALTIMORE, MD 21202-1290
Phone number: 443-642-9456
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